The process of selling,
delivering, training, billing, and collecting reimbursements for the
VITALWEAR System, follow a similar process as with most DME products. Below,
we take you through each of the steps along with estimates for billing and
reimbursements.

This modality provides localized heat therapy (moist or dry) that is safe
and effective. Adjustable temperature from 40 F to 105 F (105F fixed for
sensitive skin). Controlled heat (water) within safe limits that relaxes
muscles, increases blood flow and reduces edema as well as pain. Patented
Wraps are used for the foot, wrist, elbow, shoulder, cervix, chest,
and any other area of the body.

In order for a patient to qualify under
Medicare guidelines for
the VITALWEAR System, an Rx is required from the Doctor indicating that there is
a Medical Necessity for the patient to receive warm therapy to improve
circulation or relieve pain. Some of the diagnosis's include:

Upon patient qualification and before
placing an order, it is necessary to receive the approval from the patient's
primary
Doctor. The Prescription
Rx form is sent or faxed to the Dr. for
their signature.

Patient's authorization
to bill Medicare

The
standard patient authorization form needs to be signed by the patient and
returned prior to billing Medicare.

Billing Medicare &
Supplemental Insurance

Upon completion and certification that the
VITALWEAR System has been delivered and accepted
by the patient, the Medicare Provider company then bills Medicare,
Supplemental Insurance, and possibly the patient for the co-pay amount.

Below is a schedule that shows the approximate Medicare billing amounts and
reimbursements:

The Medicare allowable for the VITALWEAR System varies by state between $443 -
$521. The Medicare allowable for the Wraps vary by state from $89 -
$104.
Below is a schedule that shows the approximate Medicare billing amounts for the Initial sale of the
VITALWEAR System and the Recurring
sales of the Wraps:

Medicare Billing for VITALWEAR System

Amount

Description

HCPCS

Qty

Billed Range

VITALWEAR System & 1 Wrap

E0217

1

$443 - $521

Medicare Reimburse @ 80%

$354 - $416

Medicare Billing for Recurring Wraps

Amount

Description

HCPCS

Qty

Billed Range

Wrap

E0249

1

$89 - $104

Medicare Reimburse @ 80%

$71 - $83

Certification

VITALWEAR System - Medicare does not require any
education or certification to provide
the VITALWEAR System. The DME is required to obtain accreditation for the
HCPCS code E0217 & E0249 in order to bill Medicare. Innovate
can assist with a phone consultation on: the products, patient qualifications,
marketing, documentation, and the order process.